Insurance Verification & Reverification Specialist

Amedisys; Baton Rouge (LA); On-site; USD 23,000 - 26,000; Full time

Benefits offered by this job

Full benefits package

Paid time off

401(k) with company match

Wellness rewards

Job summary

Amedisys in Baton Rouge is seeking a Revenue Recovery specialist to verify insurance eligibility and obtain required authorizations for Medicare and non‑Medicare patient accounts flagged for coverage changes. You’ll collaborate with the Payor Change Moves team and branch staff to ensure accurate billing and timely reimbursement.

The role requires a high school diploma or equivalent, plus post‑secondary training in medical billing or related fields.

Qualifications

• High school diploma or equivalent.
• Post-secondary education or training in medical billing/collections.
• Two or more years of experience in medical office/home health benefit verification is preferred.
• Homecare Homebase experience is preferred.

Responsibilities

• Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on batch eligibility responses.
• Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on weekly claim denial report.
• Obtains initial authorization when required while maintaining compliance with confidentiality regulations.
• Enters applicable coordination notes in billing and collections system to notify Payor Change Moves Specialists when a payor change is confirmed.
• Communicates with Revenue Recovery and branch staff to provide insurance coverage information impacting patient care or reimbursement.
• Assists the department in efficient collection of client and payor information for accuracy.
• Works to reduce write-offs by completing new payor verification and authorization within the assigned timeframe.
• Follows policies and regulatory mandates including the Compliance Program.
• Performs other duties as assigned.

Skills

Benefit verification

Medical billing

Customer service

Education

High school diploma or equivalent

Post-secondary education or training in medical billing/collections

Job description

Amedisys in Baton Rouge is seeking a Revenue Recovery specialist to verify insurance eligibility and obtain required authorizations for Medicare and non‑Medicare patient accounts flagged for coverage changes. You’ll collaborate with the Payor Change Moves team and branch staff to ensure accurate billing and timely reimbursement.

The role requires a high school diploma or equivalent, plus post‑secondary training in medical billing or related fields.